Inspection on 17/12/07 for Clinton Care

This inspection was carried out on 17th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clinton Care 20/02/07

Clinton Care 10/01/06

Clinton Care 21/04/05

Clinton Care 07/12/04

Clinton Care 06/05/04

Clinton Care 23/02/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Clinton Care 5-9 St Michaels Avenue Northampton Northants NN1 4JQ Lead Inspector Keith Charlton Unannounced Inspection 17th December 2007 10:05 Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clinton Care Address 5-9 St Michaels Avenue Northampton Northants NN1 4JQ 01604 632165 01604 620619 clintoncare@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Aileen Holland Ms Una Holland *** Vacant *** Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (10) Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include within the total of 17, a maximum of 10 service users in need of personal care by reason of Mental Disorder, excluding learning disability or dementia over the age of 65 years. 20th February 2007 Date of last inspection Brief Description of the Service: Clinton Care is situated in a residential area close to local shops, leisure facilities and other amenities. It is also close to the main bus route into town centre. The accommodation provides a service for adults with mental health needs in both single and shared rooms. There is a range of communal areas. Gardens are available for residents to use when weather permits. Information about the home is available in the form of a Statement of Purpose and a Service Users Guide, from the Registered Owner. The range of fees is from £274 - £346 per week. This is an all inclusive fee. The manager provided this information on the day of the inspection. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection, conducted with the Registered Manager. Planning for the Inspection included checking on the notifications of significant events sent to the Commission for Social Care Inspection and reading the last Inspection Report. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The Inspection took place between 10.05 and 15.30 and included a selected tour of the home, inspection of records and indirect observation of care practices. The Inspector spoke with six residents, two staff members, one relative and one of the Registered Providers, Ms. Una Holland, who is also the Acting Manager. What the service does well: What has improved since the last inspection? Fire systems have been strengthened so that a fire risk assessment is in place to identify how to reduce risks and fire doors were on approved closures to ensure that the risk of fire spreading was reduced. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 6 The medication system was largely in place and up to date to prove that residents are receiving their proper medication. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment system to meet residents needs is in place. EVIDENCE: The Statement of Purpose and the summary of the last Inspection Report is available to prospective residents / visitors so they can judge whether the home is suitable for them. Current residents have a copy of the service users guide on their files that they can refer to. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 9 Evidence seen by the inspector showed that there are social work assessments prior to the admission of residents. This covered their needs, medical conditions etc so that it covered important issues, though not all National Minimum Standard issues are covered regarding social and emotional aspects, medical checks etc so it was recommended that the manager use the list of issues contained in National Minimum Standard to ensure that all relevant information is included. A relative said that her father was able to visit the home prior to admission to see if it suited his needs. The home does not offer intermediate care facilities. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are well met in general. EVIDENCE: Residents spoken to said that they knew they had a Care Plan and that this was reviewed with them. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 11 Care plans inspected were found to contain relevant information regarding residents needs. Some areas of need were not specific – e.g. no referral to medical authorities regarding continence needs, and no evidence of the last appointments regarding medical checks for the optician, dentist and chiropodist. A staff member said she was asked to read Care Plans by the Manager to make sure she was aware of residents needs. Six monthly reviews of plans had been fully carried out on all sections of the Plan to ensure it was still relevant to the resident’s needs. It is recommended that there is a record of residents normal routines, capabilities/requirements, getting up and going to bed routines etc so that these are fully known and followed by staff. Staff were friendly in their dealings with residents as witnessed by the inspector. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15, 16,17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 13 Residents have opportunities to exercise some choices in their lifestyles, though this needs to be reviewed to provide a meaningful Activities Programme. Food choices are limited though residents are satisfied with the food. EVIDENCE: Residents generally expressed no preferences regarding activities, though there were a small number of comments regarding the provision of outings – to the cinema, swimming etc and going on holidays. Records did not show that residents have been on trips or asked where they want to go on holiday. This is recommended. One resident said she would like to go more regularly to church, as she has always been religious, though the manager pointed out that when her son comes to take her she then refuses to go. Residents and a staff member said that there are indoor games and a resident was seen to knit items for a charity shop, which she said she enjoyed doing. A resident was seen to be in bed late in the morning and said that staff respected her choice to be able to do this. Residents meetings are held on a monthly basis so as to inform management as to suggestions/quality of life issues for residents. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. A Care Plan indicated that a resident had a partner and that staff respected this relationship. The staff member and the visitor spoken to confirmed that visitors were made welcome and relatives took residents out. Residents said there were no rules in general and there was free choice regarding getting up and going to bed. A resident was seen to go to the local shop to get items for other residents. He said he enjoyed doing this. Residents said they enjoyed the food. Food records were generally complete though menus did not offer a choice of main meal. It was recommended that a choice be offered every day. Records need to include what vegetables are served each day to indicate the variety. The manager said this would be done. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good personal support with their physical and emotional health needs being well met. EVIDENCE: Residents said that if they were not well then staff would arrange for the GP to see them. The relative spoken to was confident that staff would properly attend to her father’s health needs. Residents said that staff would help them with their physical care needs if they needed this help. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 15 A staff member said that a resident was depressed and that the Community Psychiatric Nurse would be visiting that day to provide support. There is a information kept in Care Plans which details all medical input on an individual basis - from nurses, GPs, etc. It also needs to detail that regular medical check ups have occurred – dentist, optician, chiropodist etc. Care Plans indicate that aspects of residents health care needs are covered – e.g. management of personal care, monitoring weight etc. Accident records were viewed. A resident had fallen and had broken his hip. There had been a proper referral to medical authorities. Medication records were in generally well recorded and up to date though one record for a resident had not been signed for on the day of the inspection. An explanation of why medication had been omitted was also not recorded. A staff member said she had in-house training on medication and was also taking a medication course organised by the pharmacy. Medication was kept securely in a locked cabinet in a locked room. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that complaints would be listened to and acted on by management. Staff have a generally good level of understanding regarding the prevention of abuse though this needs to be extended. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the owners and they thought it would be followed up. The Manager stated that there has been one complaint made by relatives in the last year and this proved to be unfounded. The Commission for Social Care Inspection was sent this information by the manager, which indicated that this matter had been properly dealt with. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 17 The Commission for Social Care Inspection has also received no direct complaints about the home during this time. There is a Complaints Procedure in the Statement of Purpose, which generally complied with the National Minimum Standard. The manager is to add that the local Social Service Department is now the Lead Agency for complaints investigations and the new contact details for the Commission for Social Care Inspection. There are residents meetings held where all residents are invited to attend and share their views about the home. A record of these meetings is available for residents and staff to refer to. Staff members on duty were asked about their understanding of whistle blowing procedures, and generally demonstrated a good understanding of the protection of residents from abuse though were not aware of all the Agencies they could contact if the matter was not dealt with properly by the Registered Providers. The manager said this would be followed up. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is kept clean by staff; facilities need some further improvement. EVIDENCE: Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 19 Residents said they liked their bedrooms though one resident said he did not like sharing a room. The manager said she would follow this up to see if this person wished to move into a single room. Observations of the bedrooms demonstrated that décor in their bedrooms suit residents lifestyles. The manager acknowledged that facilities are beginning to look worn, e.g. easy chairs in the main lounge and some carpets and décor. The home was found to be clean and maintained to a safe standard. The home was established many years ago to care for this client group. In some respects the home has not fully been brought up to current standards, for example some areas do not present as very homely; there are no hand washbasins in most rooms and rooms are mainly not carpeted. The manager needs to review the provision of furniture and fittings in residents bedrooms and to record residents choices. There is a pleasant garden/patio area where residents are able to have barbeques in summer. All communal areas are accessible to residents. A quieter, non-smoking lounge is also available. A number of bathroom door locks did not operate properly to preserve privacy. The manager said this would be followed up. A toilet seat was broken. The manager said this regularly occurred due to a resident’s use of the toilet and she would follow this up and have it mended. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet residents needs. Recruitment processes are in place to ensure the protection of residents from unsuitable staff. A staff training system needs to be fully in place to ensure staff are fully aware of all of residents needs. EVIDENCE: Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 21 Residents said that they thought there were always enough staff on duty and said staff were always friendly towards them. At the time of the inspection there were two experienced carers on duty including the manager for the twelve residents in the home. A cook, who also undertakes other duties as required, supported them. The rota showed adequate staff cover, although the senior staff member on duty on each shift was not identified and management hours were not shown. The manager said this would be followed up. A waking night staff is employed and there is an on call system to assist where needed. Training details were recorded in staff files, though not all staff had been trained in essential issues such as challenging behaviour, MRSA and mental health conditions. Advice was given on the need for the manager to organize a staff training matrix and to ensure all staff training was supplied as necessary to quickly show which staff have received training in which issue. The manager said that supervision of staff is informal and agreed that there was a lack of evidence on staff files of any relevant care issues discussed. This needs to be put in place. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 23 Systems are not fully in place to protect all aspects of the health and safety of residents. EVIDENCE: There has been no Registered Manager at the home since April 2005 and no application was in process at the time of the inspection. If the service continues to be run by the Registered Providers then an Application is needed to ensure that a Registered Manager is in place to take responsibility for the full management of the service. From comments received from staff there was satisfaction with the performance of the management in carrying out their duties. Policies and procedures are detailed and staff said they were available to them and a staff member said she had been asked to read them by the manager. There was evidence of a recent Staff Meeting, which should be useful to promote teamwork and consistency and ask staff if they would like to add items to the agenda. A Quality Assurance system is in place with Questionnaires supplied to residents to gauge views as to the services the home provides. It is recommended that an Action Plan drawn up to improve services based on this and put into the Statement of Purpose so this information is available to all interested parties. The manager keeps records of residents monies, insofar as the money is given out to residents as soon as it comes in, so the manager does not keep any residents monies. There is a Health and Safety folder though there are no Risk Assessments for safe working practices regarding relevant issues that need to be covered – e.g. the need for radiators to have covers to protect residents from burn injuries, the need for adequate window restrictors, the Risk Assessment of every area of the home etc. The manager was recommended to contact the Environmental Health Officer for advice on how to properly carry this out, which she said she would do. Regarding fire precautions, the notice served by the Fire Officer under the Regulatory Reform (Fire Safety) Order 2005, in November 2006, including the need for evacuation strategy and regular update of the Fire risk assessment had now been completed with the fire risk assessment being carried out by an outside consultant in February 2007. The manager said she had confirmed with the Fire Officer that this was satisfactory. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 24 Fire Precautions: System testing was nearly on required weekly schedules for fire bell testing though there was a three week gap in October 2007, regular fire drills had not been carried out as the six monthly drill had not taken place since February 2007 – the manager said she would carry one out the day after this inspection, regular monthly checks have not been carried out for emergency lighting as the last test was recorded as July 2007, and Fire extinguishers had been serviced in December 2006 and were due to be serviced in the week of the inspection. A staff member was asked about the fire procedure and was generally aware of what to do in the event of a fire though forgot to say that the alarm would be sounded on finding the fire. Hot water temperatures were tested and met the National Minimum Standard of close to 43c to ensure that residents are not at risk from scalding water. It was recommended that they are checked on a weekly basis to ensure this provides ongoing protection for residents. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 2 CONDUCT AND MANAGEMENT Standard No Score 37 1 38 X 39 3 40 X 41 X 42 1 43 X X 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clinton Care Score 3 2 2 X DS0000012748.V354623.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP24 Regulation 16 Requirement The Registered Providers need to review facilities and replace flooring, décor and furnishing where necessary and ensure that locks to WCs and bathrooms are in workable condition. An Application for Registered Manager needs to be made to, ensure a suitably competent person fills this position. Timescale for action 17/06/08 2. OP37 9 17/03/08 3. YA42 13 The Registered Provider must 17/02/08 ensure that there are proper Risk Assessment for safe working practices and that all aspects of the fire precautions meet the require standards. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 Good Practice Recommendations Care Plans need to be comprehensive to cover all aspects of the needs of residents. Medication Administration Sheets should be maintained fully to meet the Royal Pharmaceutical Society’s guidance on the administration of medicines in Care Homes. A matrix of staff training needs should be drawn up and relevant training provided where necessary. Staff should have regular recorded supervision sessions covering the areas detailed in the National Minimum Standards. OP9 3. 4. OP30 YA36 Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Clinton Care DS0000012748.V354623.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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